Twelve-Month Payment Option Plan for 9/10-Month Faculty

The open enrollment period for the 2022-2023 academic year is now open.  The enrollment period will close on Friday, August 12th, 2022.  Please see the Employee FAQ for details about the program. 

Important Instructions

This form can be completed electronically. To fill out and submit this form electronically you will need to download it to your computer and open it using an Adobe PDF reader. Once downloaded and opened in Adobe PDF you will be able to enter data and watch it calculate your balances in real time, sign the form electronically using an Adobe digital certificate, and submit the form to Payroll for processing. You will not be able to complete and submit this form inside of a web browser. 

If you are using a Mac you may need to download and open the form in the Preview application. You can find more information here

Twelve-Month Payment Option Form Academic Year 2022 – 2023